New and updated American College of Radiology (ACR) Appropriateness Criteria help health care providers choose the most appropriate medical imaging, radiologic interventional procedure, or radiation therapy for more than 1050 clinical indications. These continually updated criteria are a national standard developed by expert panels of physicians from many different medical specialties.

In the latest version, the ACR updated 19 topics and added 3 new criteria, covering clinically suspected pulmonary arteriovenous malformation, nasopharyngeal carcinoma, and adjuvant therapy in vulvar cancer. The Criteria are available on the ACR web site.

The criteria are categorized as diagnostic or radiation oncology, and then grouped by topic within anatomical sites. Information includes a narrative and rating table and an evidence table. Some topics include a literature search.


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“ACR Appropriateness Criteria are nationally accepted, scientifically based guidelines for selection of diagnostic imaging, image-guided interventional procedures, and radiation oncology procedures for specific clinical needs,” said E. Kent Yucel, MD, FACR, chair of the American College of Radiology Committee on Diagnostic Imaging and Interventional Radiology Appropriateness Criteria.

“The ACR Appropriateness Criteria guide physicians when ordering exams and help ensure that patients get the right scan or therapy for the right indication. The criteria have also been shown to improve quality, reduce unnecessary exams, and lower costs,” he added.

ACR Select, provided by National Decision Support Company, contains a digital version of the ACR Appropriateness Criteria diagnostic topics. The platform can be integrated with computerized ordering or electronic health record (EHR) systems to guide providers when ordering medical imaging scans.